Contact Email

Phone

Fax

Community Support Programs for Chronically Mentally Ill Persons are certified by the Department of Health Services under Wisconsin Administrative Code Chapter DHS 63.

Type

Initial

Description

A Community Support Program for Chronically Mentally Ill Persons means a coordinated care and treatment program, which provides a range of treatment, rehabilitation and support services through an identified treatment program and staff to ensure ongoing therapeutic involvement, individualized treatment, rehabilitation and support services in the community for person with chronic mental illness.

Duration

One year (Provisional).

Fees

Annual Fees:

Services/Programs

Amount

1

$550.00

2

$800.00

3

$1,000.00

4

$1,175.00

5

$1,350.00

Each additional

$100.00

Telehealth (per certificate)

$200.00

Prerequisites

Application Process

See Wisconsin Administrative Code Chapter DHS 63.03; on receipt of an application for initial certification or renewal of certification, the department shall review the application and its supporting documents; designate a representative to conduct an on-site survey of the program. Within 60 days after receiving a completed application for initial certification or renewal of certification, the department shall either certify the program if all requirements for certification are met or deny certification if any requirement has not been met.

The following applications are required for certification for Community Support Programs for Chronically Mentally Ill Persons:

*These applications are not required if the program is being added to an existing certificate.

Caregiver Background Check – This process is not required if the program is being added to an existing certificate.

A caregiver background check (CBC) is required to be completed for all applicants/legal representatives prior to the approval of any new license, certification or registration of a DQA regulated entity.

Review information for Licensee Applicants/License Holder Background Checks found on the Caregiver Background Check Process web page for the completion of the Background Information Disclosure (BID) form and Appendix. Complete either the Online Caregiver Background Check (CBC) process or the manual application process.